Choosing the Right Dentures and Braces: What You Need to Know - Dentistry

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Dentures and Orthodontics


I recently considered getting dentures and orthodontic treatment, but my mother said that the back dentures don't need to be of high quality.
I think she meant that I should get "silver" dentures instead of those that match the color of my teeth.
Doctor, isn't "silver" dentures bad for the gums, or am I misunderstanding? If they don't harm the gums, is there a price difference compared to regular dentures? Previously, I had my back teeth checked by a dentist, and he said I was missing one tooth and needed three in total.
If we calculate the cost of a regular denture at $6,000 each, that would amount to $18,000, which is quite expensive.
What type of dentures should I consider for my back teeth? Also, if I undergo denture and orthodontic treatment simultaneously, will that extend the duration of the orthodontic treatment?

Jiang Xiaodi, 10~19 year old female. Ask Date: 2006/04/18

Dr. Liu Tiancai reply Dentistry


Hello: For dentures and orthodontics, it is recommended to do orthodontics first.
"Silver" dentures match the color of the teeth.
The biggest difference with dentures lies in the ceramic firing that mimics the color of natural teeth, so aesthetics is a major consideration.
There is no issue regarding the gums.
Sincerely, Dr.
Liu Tian-Cai, Dentistry.

Reply Date: 2006/04/18

More Info


When considering dentures and braces, it’s essential to understand the implications of your choices, both in terms of aesthetics and oral health. Your inquiry about "silver" dentures versus more natural-looking options raises several important points that deserve careful consideration.

Firstly, "silver" dentures, often made from metal alloys, can indeed be a more economical choice, especially for posterior teeth where aesthetics are less of a concern. However, there are several factors to consider regarding their impact on oral health. While metal dentures are generally durable and can withstand significant chewing forces, they may not provide the same level of comfort or gum health as more modern materials like acrylic or porcelain. Metal can sometimes cause irritation to the gums, especially if there are any rough edges or if the fit is not perfect. This irritation can lead to inflammation or discomfort over time. Therefore, while they may not directly harm the gums if fitted correctly, they can lead to issues if not properly maintained or if the fit is compromised.

In terms of cost, you mentioned that a standard denture costs around $6,000 per tooth, which totals $18,000 for three teeth. The price of dentures can vary significantly based on the materials used, the complexity of the case, and the dental practice's location. Metal dentures may be less expensive than high-quality acrylic or porcelain options, but it’s crucial to weigh the long-term benefits against the initial savings. Investing in higher-quality materials may lead to better comfort, aesthetics, and longevity, potentially saving you money on replacements or repairs in the future.

Regarding your question about whether getting dentures and braces simultaneously would extend the duration of orthodontic treatment, the answer is somewhat nuanced. If you are undergoing orthodontic treatment while also getting dentures, it could potentially complicate the treatment plan. The presence of dentures may affect the alignment of your teeth and the overall bite, which could lead to adjustments in the orthodontic treatment timeline. It’s essential to have a comprehensive treatment plan developed by both your orthodontist and your prosthodontist (the dentist specializing in dentures) to ensure that both treatments can be coordinated effectively.
Moreover, it’s important to consider the timing of these treatments. In some cases, it may be beneficial to complete orthodontic treatment first, especially if the alignment of your teeth is significantly off. This can provide a better foundation for the placement of dentures later on. Conversely, if the dentures are needed urgently due to missing teeth, your dentist may recommend a more integrated approach.

In conclusion, when choosing between "silver" dentures and more natural-looking options, consider the long-term implications for your oral health and comfort. While cost is an important factor, it should not be the sole determinant of your choice. Additionally, coordinating the timing of braces and dentures is crucial for effective treatment. Consulting with both an orthodontist and a prosthodontist will provide you with a tailored plan that addresses your specific needs and concerns. Always prioritize your oral health and comfort over short-term savings, as this will lead to better outcomes in the long run.

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